Abstract

Synechiae between the iris and tissue posterior to the iris can cause a markedly dilated, nonreactive pupil that is cosmetically undesirable after combined pars plana lensectomy and vitrectomy for complicated forms of retinal detachment. The authors have used a combined limbal and pars plana approach to lyse the posterior synechiae, resulting in partial pupillary constriction. The surgical technique is described, and clinical results are illustrated.

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